<admintpl file="header" />
</head>
<body>
    <div class="wrap js-check-wrap">
        <ul class="nav nav-tabs">
            <li><a href="{:U('AdminCoupon/index')}">{:L('BUSINESS_ADMINCOUPON_INDEX')}</a></li>
            <li class="active"><a href="#A" data-toggle="tab">{:L('BUSINESS_ADMINCOUPON_VERIFY')}</a></li>
        </ul>
        <form class="form-horizontal js-ajax-form" action="{:U('AdminCoupon/verify_post')}" method="post">
            <div class="tabbable">
                <div class="tab-content">
                    <div class="tab-pane active" id="A">
                        <fieldset>
                            <div class="control-group">
                                <label class="control-label">{:L('COUPON_VERIFY')}</label>
                                <div class="controls">
                                    <input type="text" name="coupon_sn" value=""><span class="form-required">*</span>
                                </div>
                            </div>
                            <div class="control-group">
                                <label class="control-label">{:L('COUPON_REMARK')}</label>
                                <div class="controls">
                                    <textarea name="remark" rows="5" cols="57"></textarea>
                                </div>
                            </div>
                        </fieldset>
                    </div>

                </div>
            </div>
            <div class="form-actions">
                <button class="btn btn-primary js-ajax-submit" type="submit">{:L('VERIFY')}</button>
                <a class="btn" href="javascript:history.back(-1);">{:L('BACK')}</a>
            </div>
        </form>
    </div>
    <script type="text/javascript" src="__PUBLIC__/js/common.js"></script>
</body>
</html>